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SA N 10AQ U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> COUNTY— SITE APPROVAL/USE PERMIT <br /> PA2200045 <br /> FILE NUMBER: <br /> New Application#PA-2200045 SA <br /> PRE-APPLICATION: 7 ❑ <br /> Owner Information Applicant Information <br /> Name:Lost Isle Resort, LLC Name:Lost Isle Resort, LLC/David Wheeler, CEO <br /> Mailing Address:11050 W. Acker Island Mailing Address:1475 Saratoga Ave, Suite 100 <br /> Stockton, CA 95219 San Jose, CA 95139 <br /> Phone:408-836-4427 Phone:408-836-4427 <br /> Email:Dave@MuddyRiverCapital.com Email:Dave@MuddyRiverCapital.com <br /> Applicant's Representative Information Design Professional Information <br /> Name:DCC Engineering, Co., Inc. (DCCE) Name:Gilbert R Labrie or Barb McGowan <br /> Mailing Address:PO Box 929 Mailing Address:PO Box 929 <br /> Walnut Grove, CA 95690 Walnut Grove, CA 95690 <br /> Phone:916-776-9127 (Barb); 916-776-9122(Gil) Phone:916-776-9127 (Barb); 916-776-9211 (Gil) <br /> Email:GLabrie@dcceng.net or Bmcgowan@dcceng.net Email:GLabrie@dcceng.net or Bmcgowan@dcceng.net <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> ❑■ Site Approval <br /> Type of application (check only one, separate applications <br /> required for each): or <br /> ❑ Use Permit <br /> Project Summary:Please refer to the Attachment A and use our project ID on your documents: DCCE#7639.20.01 <br /> 1.Additional information including Previously Approved Permit Nos (Section 4)and expanded answers are in our DCCE <br /> Attachment A- Executive Summary/Project Information Sheet <br /> 2.Additional information in the attached Lost Isle Resort, LLC Development Plan with Project Status <br /> Will the project include more than one(1)phase? (maximum of 2 phases)Yes: 0 No: ❑ <br /> Length of time (maximum of 5 years):Phase 1 (18 months); Phase 2 (max 5 years)See Page 7 and 9 in Attachment A <br /> Note:For questions regarding phasing,contact the Planning Division at 209-468-3121. <br /> Related Planning Application(PA)number(s): <br /> Is this application tied to another Copies attached of the Previously Approved <br /> discretionary application? Yes: ❑� No: ❑ Use Permit: PA-1000044 SA and other <br /> Permits and Licenses. <br /> Property Information <br /> Assessor Parcel Number Property Address Property Size Williamson Act Contract <br /> 131-020-01 11050 W. Acker Island, Stockton, CA 7.17 acres Yes: ❑ No: 0 <br /> 95200 Yes: ❑ No: ❑ <br /> Yes: ❑ No: ❑ <br /> Page 1 of 6 <br /> 0 811 3/2 0 21 <br />